出诊医师参与院外急救电话指导的研究  

Effects of emergency doctors participating in telephone guidance： analysis of 66895 cases

作　　者：宋因力[1] 王建岗[1] 

机构地区：[1]浙江省杭州市急救中心急救科,310012

出　　处：《中国急救复苏与灾害医学杂志》2013年第2期133-135,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的研究出诊医生参与院外急救电话指导对急救救治效果的影响。方法选取本中心2010年5月～2011年5月间66895例院外急救病例，分为A、B两组，A组由未开展电话医学指导救治的35926例作为对照组。B组由出诊医生参与院外急救电话指导的30969例作为研究组。比较和分析两组间救治效果的差异。结果电话指导组救治有效率70．99％，较未开展电话医学指导组救治有效率62．86％，有显著的提高（X2=513．31，P〈0．01）。且放空率明显下降，服务满意率明显提高。结论出诊医生参与院外急救电话指导能提高救治效果，也能减少急救资源浪费和提高服务满意率，但值得注意的是电话指导语言必须通俗易懂、方案必须清晰、易于遵从。Objective To study the effects of participation in telephone guidance by emergency doctors. Methods 66 895 patients undergoing pre-hospital emergency treatment were randomly divided into 2 sex, age, type of disease, and condition-matched groups, Group A （n=35 926, not receiving the guidance of the pre-hospital emergency team） and Group B （n=30 969, receiving the guidance from the pre-hospital emergency team through phone call）.The effective rate of pre-hospital emergency treatment, satisfaction rate of the patient and/or their families, and the empty-carrying rate of ambulance were analyzed and compared between these 2 groups. Results The empty carrying rate of Group B was 12.82 %, significantly lower than that of Group A （18.20 %, X2=379.34, P 〈 0.01）. The satisfaction rate of the patients and/or their families of Group B was 100%, significantly higher than that of Group A （92.80, X 2=35.63, P 〈 0.01）. The effective rate of pre-hospital treatment of Group B was 70.99%, significantly higher＇than that of Group A （62.87 %, X2=513.37, P 〈 0.01）. Conclusion Emergency doctor participating in first aid telephone guidance increases the survival rate of the patients, reduces the waste of resources, and improve the satisfaction rate of the patients and/or their families . The language of telephone guidance must be easy to understand and follow.

关 键 词：出诊医生 院外急救 电话指导 

分 类 号：R459.7[医药卫生—急诊医学]